Abstract

Abstract Objective: To analyze the understanding of nurses working in the mental health services regarding compulsory and involuntary hospitalization referred to in the Brazilian Psychiatric Reform Law. Methodology: Qualitative research, with eight nurses from the mental health services. Data collection took place through an open interview, analyzed using Bardin's content analysis. Results: The nurses understand that when psychiatric hospitalization is recommended, the service user must be evaluated in the social and family context. They consider that both forms of hospitalization can cause distress and anxiety to the service user, due to this person finding herself in a place against her will. Conclusion: This study contributes to reflection regarding psychiatric hospitalization as a resource which must be used in specific situations. The success of community-based services is linked to a non-fragmented mental health service for effective implementation of the reorganization of psychiatric care.

Highlights

  • Speaking, hospitalization was the main form of treatment in mental health

  • This study contributes to reflection regarding psychiatric hospitalization as a resource which must be used in specific situations

  • For the nurses who participated in the study, when the person usinga the mental health services is received by a health service with a request for hospitalization, it is expected that this person will be evaluated by the team based on the context from which he came, such as the family support network, the sociocultural context and what led to the need for a possible hospitalization

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Summary

Introduction

Speaking, hospitalization was the main form of treatment in mental health. The isolation of people with mental disorders aimed - in the 17th century - to avoid disorder or any type of violation of the social order.[1] In a doctor-centered space where behavior considered deviant was to be disciplined, the professional nurses had an important role in the organization of the asylums for the insane.[2] The processes of change in the field of mental health began with the National Anti-Asylum Movement. We understand that the nurse is an important professional, due both to her ability to understand the human being in a comprehensive way and to the communication that she promotes between the health team, the service user and the community, contributing to processes of deconstruction and re-creation of concepts - and the improvement of practices identified with the precepts of the Psychiatric Reform.[4]

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